PERRYSBURG THERAPY LLC (NPI# 1073054219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073054219 |
| Entity Type | Organization |
| Organization Name | PERRYSBURG THERAPY LLC |
| Practice Address |
830 W South Boundary St Suite A Perrysburg OH 43551-5238 |
| Practice Telephone | 4199313020 |
| Practice Fax Number | 4199313022 |
| Mailing Telephone | 4199313020 |
| Mailing Fax Number | 4199313022 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | CRAIG BURROW (OWNER) |
| Authorized Official Telephone | 4199313020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
E1600096 | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
C1300382 | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
E1700029 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I-000-5829-S | OH | Behavioral Health & Social Service Providers |
| Street Address |
830 W SOUTH BOUNDARY ST SUITE A |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548530561 | Carissa Wott | Psychologist | 830 W South Boundary St, Perrysburg, OH 43551 | 2012-01-06 |
| 1477039873 | Lena Marie Salpietro | Counselor | 830 W South Boundary St, Perrysburg, OH 43551-5238 | 2018-07-18 |
| 1265876593 | Wellsbrooke Certified Home Health Care, Inc | Home Health | 830 W South Boundary St, Suite C, Perrysburg, OH 43551-5238 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548327752 | Carol A. Maloney | Social Worker | 1011 Sandusky St Ste N, Perrysburg, OH 43551-3171 | 2007-01-03 |
| 1417992991 | Ronald Boudouris | Social Worker | 885 Commerce Dr, Perrysburg, OH 43551-5267 | 2006-06-18 |
| 1831145457 | Sarah S. Schendel | Social Worker | 27072 Carronade Dr, Suite A, B, & C, Perrysburg, OH 43551-5300 | 2006-05-25 |
| 1720690910 | Joyce Sutton | Social Worker | 1070 Commerce Dr, Perrysburg, OH 43551-5236 | 2020-08-19 |
| 1043702418 | Elizabeth L. Miller | Social Worker | 30000 E River Rd, Perrysburg, OH 43551 | 2018-06-01 |
| 1912444241 | Marie Walters | Social Worker | 1090 W South Boundary St, Suite 600, Perrysburg, OH 43551-5234 | 2017-01-25 |
| 1063856649 | Jennifer Calhoun | Social Worker | 975 Commerce Dr, Perrysburg, OH 43551-5228 | 2013-04-25 |
| 1306186648 | Mary Anne Mayle | Social Worker | 250 Manor Dr, Perrysburg, OH 43551-3118 | 2013-02-24 |
| 1003113150 | Jessica S Datta | Social Worker | 975 Commerce Dr, Perrysburg, OH 43551-5228 | 2011-02-24 |
| 1912208729 | Prohealth Physician Group LLC | Social Worker | 12611 Eckel Junction Rd, Perrysburg, OH 43551-1304 | 2010-11-10 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
Please comment or provide details below to improve the information on PERRYSBURG THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.